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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 18, 2018 <br />Name Roger T. Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />❑ Agreement <br />❑ Contract U Proposal U Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />f 1 Other: <br />Company or Vendor Name <br />Lawson -Fisher Associates P.C. <br />❑ Yes ® No ❑ If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Olive Street Reconstruction Right of Way Services <br />Project Number <br />114-064A <br />Funding Source <br />LOIT Special Distribution -subject to Council Appropriation <br />Account No. <br />257-0602-431.42-96 <br />Amount <br />$199,000.00 <br />Terms of Contract <br />Not to Exceed <br />Purpose/Description <br />The Agreement is for right of way acquisition services for the <br />Olive Street Project which is 80% reimbursable by FHWA. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: °10 <br />Dispersal After Approval `' <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />